JS Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23327 Issued in FL

Legal business name

JS PHARMACY LLC

Practice address

6416 Ridge Rd
Port Richey, FL 34668-6748

Phone

(727) 847-2211

Fax

(727) 847-2212

NPI assigned

May 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rukam Jassal

Title

Managing Member

Phone

(727) 483-3923

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JS PHARMACY Doing business as

Tax ID family

J'S Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JS Pharmacy LLC

  • Long Term Care Pharmacy
  • Port Richey, FL
  • NPI 1164931358
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1649437161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 RIDGE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "34668",
            "telephone_number": "727-847-2211",
            "fax_number": "727-847-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 RIDGE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686748",
            "telephone_number": "727-847-2211",
            "fax_number": "727-847-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "JASSAL",
        "authorized_official_first_name": "RUKAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-483-3923"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000336900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2011836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John L. Meyers, OD PA
• Kody Johnson
• Jones House Inc.
• Douglas A Jordan Jr., D.P.M.
• JS Pharmacy LLC
• Kelly Ann Kaina
• Millad Kamel
• Kassidy Kare Home Agency
• Edwina Alexandria Kennedy, MA
• Khoi X Dam MD PA

• Community/Retail Pharmacy in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.